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Integrated Wellness Service. Overview. Rationale for developing new model What steps we have taken so far New model Challenges Levers for change. Rationale for changing model. High prevalence of unhealthy lifestyle behaviours Many people with multiple lifestyle issues

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Presentation Transcript

Overview
Overview

  • Rationale for developing new model

  • What steps we have taken so far

  • New model

  • Challenges

  • Levers for change


Rationale for changing model
Rationale for changing model

  • High prevalence of unhealthy lifestyle behaviours

  • Many people with multiple lifestyle issues

  • Wider health determinants - needs around debt, housing, learning, welfare reform

  • Relatively low levels of wellbeing

  • GPs wanted clear referral pathway

  • Local insight supported joined up approach


Lifestyle pathway 2010
Lifestyle Pathway – 2010

  • Number separate referrals

  • Single lifestyle behavior based support.

  • Limited cross referral.

  • Limited conversations and connnections to wider wellness support, (except through HT service).


Changing our model
Changing our model

  • SPOA 6mths pilot 2011 worked with 2 GP practices & lifestyle providers

  • Single referral form & system to Health Trainer Service

  • Full evaluation of the pilot, led to SPOA roll out to all GPs from Aug – Oct

  • Benchmarking / action plan using wellness standards

  • Lifestyle Service review meetings

  • Redesign of service model & new specification



Iws model
IWS Model

Client receives phone contact & brief intervention within 48 hours by hub, 6 wk follow up

Holistic approach, joined up delivery, addresses multiple needs, person centered support, outcomes electronically fed back to GPs


Challenges
Challenges

  • Embedding new system of working

  • Information sharing / duplication

  • Information system for Health Trainer Service

  • Information system across providers

  • New training needs

  • Pathways to services / support that are not PH commissioned services

  • Accessible and interactive website


Levers for change
Levers for Change

  • Public Health leadership

  • Effective Use of Services – HWB priority

  • Commitment to asset based working - JSAA

  • PMS GP contract – sign up to SPOA & follow new referral pathway

  • Involvement & relationship with lifestyle services

  • Re-design Health Trainer & community health service – new contract

  • 2 x CQUIN – Brief intervention training across frontline health staff, wellbeing training / hub

  • IWS ongoing piece of work


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